Active NPI 1336246321 Individual Practitioner Female Practitioner

Dr. Terisa Ann Thomas , MD

Specialist • Gadsden, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Terisa Thomas, MD is a certified Specialist practicing in Gadsden, AL. With approximately 32 years of clinical experience since graduating from Brody School Of Medicine At East Carolina University in 1994, Dr. Thomas delivers high-quality medical care to the local community at 800 GOODYEAR AVENUE.

Dr. Thomas is affiliated with Healogics Specialty Physicians Of Alabama Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Goodyear Avenue
Suite B

Gadsden, AL 35903

Telephone 2565490067

Fax 2565490206

Associated Practice Facility / Clinic

🏢 Physicians Choice Dialysis Of Gadsden Llc Facility NPI 1881988004

Medicare Profile & Education

Medical School

Brody School Of Medicine At East Carolina University

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gadsden, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -4.4 yrs vs City Avg

City Avg: 36.4 Yrs

State Avg: 34.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Gadsden, AL (611 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (32 Years) 32 Yrs

Gadsden Specialty Average (36.4 Years) 36.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	252	54	$254.00	$51.91
99213 Established patient office or other outpatient visit, typically 15 minutes	202	54	$208.00	$59.71
97597 Removal of tissue from wound, 20.0 sq cm or less	179	52	$160.00	$32.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	48	$321.00	$88.56
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	91	29	$642.00	$133.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$525.00	$121.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$104.00	$32.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	262	43	$254.00	$52.49
97597 Removal of tissue from wound, 20.0 sq cm or less	176	40	$147.87	$32.43
99213 Established patient office or other outpatient visit, typically 15 minutes	125	38	$208.00	$61.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	41	$321.00	$90.93
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	62	24	$642.00	$138.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$525.00	$125.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$104.00	$33.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	231	39	$254.00	$53.11
97597 Removal of tissue from wound, 20.0 sq cm or less	144	44	$98.49	$34.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	37	$321.00	$94.54
99213 Established patient office or other outpatient visit, typically 15 minutes	118	40	$208.00	$62.18
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	72	24	$642.00	$143.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$513.44	$128.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$104.00	$35.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$685.00	$177.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	310	65	$254.00	$55.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	50	$240.67	$96.68
97597 Removal of tissue from wound, 20.0 sq cm or less	115	39	$99.00	$34.37
99213 Established patient office or other outpatient visit, typically 15 minutes	107	45	$208.00	$65.33
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	70	28	$642.00	$151.09
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	62	16	$110.00	$25.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$525.00	$123.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	17	$452.00	$142.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$104.00	$35.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	367	79	$257.40	$56.76
99213 Established patient office or other outpatient visit, typically 15 minutes	266	79	$209.14	$49.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	81	$228.44	$76.06
97597 Removal of tissue from wound, 20.0 sq cm or less	142	55	$100.68	$35.47
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	92	14	$110.00	$25.93
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	69	30	$645.42	$146.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$526.73	$123.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$104.00	$24.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	402	83	$234.00	$55.39
99213 Established patient office or other outpatient visit, typically 15 minutes	340	101	$195.00	$47.61
97597 Removal of tissue from wound, 20.0 sq cm or less	335	78	$93.00	$23.14
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	251	20	$102.00	$24.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	195	72	$96.00	$23.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	44	$299.00	$72.14
97598 Removal of tissue from wound, each additional 20.0 sq cm	81	11	$45.00	$10.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$496.00	$117.81
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	62	22	$594.00	$132.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$290.00	$71.42
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	16	14	$99.00	$24.32
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	14	$46.00	$11.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	441	73	$234.00	$54.86
99213 Established patient office or other outpatient visit, typically 15 minutes	264	78	$195.00	$46.83
97597 Removal of tissue from wound, 20.0 sq cm or less	233	61	$93.00	$22.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	70	$96.00	$23.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$496.00	$118.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	36	$299.00	$69.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$290.00	$68.77
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	28	16	$594.00	$141.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	225	50	$74.71	$21.35
11042 Removal of skin and tissue, 20.0 sq cm or less	183	46	$213.79	$54.70
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	103	12	$88.34	$23.70
99213 Established patient office or other outpatient visit, typically 15 minutes	99	40	$172.03	$46.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	40	$89.04	$23.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	28	$157.08	$72.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	40	$146.40	$130.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$451.01	$107.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	19	$114.00	$96.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$227.45	$154.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$290.00	$68.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	15	$446.40	$115.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$124.80	$123.62

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 00023391

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

529917180 (AL)

Hospital & Practice Group Affiliations

Healogics Specialty Physicians Of Alabama Llc

300 Medical Ctr Dr, Gadsden, AL 359031135

Phone: 2564136480

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2015

Registered at 800 GOODYEAR AVENUE, SUITE B, GADSDEN, AL 35903 (Tel: 2565490067)

📍

Updated Business Mailing Address October 27, 2015

Registered at 800 GOODYEAR AVENUE, SUITE B, GADSDEN, AL 35903 (Tel: 2565490067)

👤

Provider Name / Credentials Updated October 27, 2015

Recorded as TERISA THOMAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2015

Specialist (License #00023391 in AL)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336246321

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: October 27, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

800 Goodyear Avenue, Suite B

Gadsden, AL 35903

Phone: 2565490067

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.